I rilru a na bawk em? Hiatal hernia a ni em tih pawh ka hre lo! Kan inbe dawn em ni?

Nang pawhin thinlung natna i nei fo em? Chaw ei zawhah i rilruah sour taste i nei ang tih i hria em, a nih loh leh ei tur i rilruah a rawn thleng ve ang tih i hria em? A nih loh leh chaw ei harsa i ti em, a nih loh leh i kawr chhungah thil a inkhung ang maiin i hria em? Hengte hi a chang chuan kan ngaihven vak lo nain, hengte hnuaiah hian "Hiatal Hernia" an tih condition a awm thei. Lungngai suh, hei hi mi tam tak chunga thleng thin leh enkawl theih a ni. Vawiin hian he thu hi chipchiar takin kan sawi dawn a, chhungkaw member pakhat nen kan inbia ang maiin kan sawi dawn a ni.

Hiatal Hernia chu eng nge ni?

A awlsam zawngin, hiatal hernia chu i pum chunglam chu i rilru leh i pum inthenna ruh (muscle) diaphragm-a khur te tak te atanga a rawn nawr luh hi a ni. Bang ang maiin han ngaihtuah teh. He wall hian khur te tak te (esophageal hiatus) a nei a, chutah chuan i esophagus chu i pum nen a inzawm a ni. A châng chuan he khur hi a lian deuh deuh chuan i pum thenkhat chu a rawn nawr lut thin. Chu chu hiatal hernia kan tih chu a ni. Hernia tih thumal hian organ emaw tissue emaw chuan a awmna hmun pangngai aiin a chhehvel tissue barrier-a hmun chak lo tak a nawr tihna a ni. Hernia hi a awm fo thin a, mi tam tak chuan he hiatal hernia hi an nei thin. Hei hi kum tam tak chhungin zawi zawiin a lo awm tlangpui. Thil danglam nghal mai a ni lo.

Hiatal Hernia chi hrang hrangte chu engte nge ni?

Hiatal hernia hi chi hnih a awm a, chungte chu sliding hiatal hernia leh paraesophageal hiatal hernia te an ni. Mi tam zawk chuan he sliding type hi an nei thin.

• Type 1: Sliding Hiatal Hernia tih a ni

Hei hi a tam ber chi (95% vel) a ni. Thil thleng chu i esophagus (food pipe) chu diaphragm chhunga khur atang chuan a rawn chho a, chutah chuan i pum (gastroesophageal junction) nen a inzawm a, chutah chuan a tla leh ta a ni. A hlip ang mai a ni. Chuvang chuan sliding hernia an ti a ni.

• Type 2: Paraesophageal Hiatal Hernia - Rolling Hiatal Hernia an ti bawk.

Hetiang chi ah hian chaw kawng chunglam chu chaw kawng hawnna atang hian a chhuak a, chaw kawng atanga chhuak a ni. Ball ang maia lump ang maiin a lang thei.

• Type 3: Hernia inzawmkhawm

Hei hi a chunga kan sawi chi hnih inzawmkhawm ang a ni. Esophagus hi pum nena a inzawmna hmunah a chhuak a, chutih rual chuan pum chhung hmun dang pawh a chhuak thei bawk.

• Type 4: Hernia buaithlak tak

Hei hi a tlem deuh a, a buaithlak deuh thei bawk. Thil thleng chu, diaphragm-a khur chu a lian tawk a, chu chuan pum leh pum chhunga peng dang, entirnan, intestine thenkhat, pancreas emaw, spleen emaw chu a rawn chhuak ve ta a ni.

He natna hi Hiatal Hernia an tih hi engtiang chiahin nge a awm?

Hei hi a takah chuan i ngaihtuah aiin a tam zawk a, a bik takin i tar chhoh zel chuan. America ang ramah chuan mipui zahawm 20% vel a nghawng a ni. Kum 50 an tlin chuan 50% chuan he natna hi an nei tawh ang an ti a, kum 60 an tlin chuan 60%, kum 70 an tlin chuan 70% chuan he natna hi an nei tawh ang an ti. Hetiang dinhmun hi Sri Lanka-ah pawh a awm fo.

Hiatal Hernia natna lan chhuah dan chu engte nge ni?

Mi tam takin an neih thin sliding hiatal hernia ah chuan hernia hi i hre lo mai thei. Hernia chi dang angin pawn lamah chuan lump angin a lang lo.

Hiatal hernia vei tam tak chuan symptom an nei lo. Mahse, symptom nei tam zawk chuan hun rei tak chhunga acid reflux natna (Gastroesophageal Reflux Disease - GERD ) nena inzawm symptom an nei a ni.

Anni chu:

• Heartburn : A bik takin chaw ei zawhah kan rilru a kang thin.
• Noncardiac chest pain : Thin natna lo lang leh thin , angina nen a inang a , mahse thinlung nen a inzawm lo .
• Indigestion: Chaw tlemte ei hnua chaw ei khamna, pum na nen a inzawm.
• Burping leh regurgitation: Chaw, boruak leh acid te chu rilru chhunga a rawn lut leh thin.
• Chaw ei harsa emaw, i rilruah lump a awm emaw.
• Thlarau na leh hoarseness: Thlalak chhunga acid awm hian kawr natna a thlen thei a, aw a tidanglam thei bawk.

Mahse hre reng ang che, hiatal hernia nei zawng zawng hian acid reflux an nei vek lo va, acid reflux nei zawng zawng hian hiatal hernia an nei vek lo. Mahse heng symptoms te hi i tawn tam zawk a nih chuan hernia a ni thei. Vaukhânna chhinchhiahna dangte chu:

• Nausea: Nausea hi pum pressure vang emaw, acid reflux vang emaw, a pahnih vang emaw a ni thei.
• Thâwk lak tawi: 1.1.Hernia hian lung a compress chuan thawk a harsa thei hle.
• Pum chunglam emaw, rilru hnuai lam emaw pressure emaw na emaw a awm.

Heng symptoms te hi paraesophageal hernia lian tak tak nei te zingah a langsar ber a ni.

Hiatal Hernia natna hi eng ang nge a nih?

Hiatal hernia chu i pum leh i rilru inzawmna hmun a ni. Chuvangin hernia atanga natna i neih chuan rilru natna emaw, pum na emaw ang maiin a awm thei. Thil engemaw i tih emaw, hernia press emaw pinching emaw awmna hmuna i awm hian natna a awm thei. Entirnan, hernia lian tak i neih chuan hmalam i kun emaw, i khuh emaw, thil i chawi emaw hian natna i nei thei. Natna hi thil dik lo a awm tih chhinchhiahna a ni thei bawk. Mahse a tam zawkah chuan hiatal hernia atanga natna hi hernia atanga natna lo chhuak a ni lo va, acid reflux atanga natna lo chhuak a ni. Acid hian i chaw kawng a ti na hle. He esophagus hi i rilru lai tak atanga i rilru thlenga kal a nih avangin, a natna chu i rilru chhung zawng zawngah a radiate ang maiin a lang thei. Mi tam zawk chuan kang ang maiin an hria. Mi thenkhat phei chuan heart attack ang maiin an hre mai thei. Ringhlelna i neih chuan, emaw, i rilru a na a nih chuan doctor pan a, in enfiah a tha ber.

Engtin nge hernia vangin acid hi rilruah a lut?

Ngaihtuah teh, kan chaw kawng (esophagus) leh kan pum (gastroesophageal junction) inzawmna hmun. Chutah chuan diaphragm chu a kal a, a tlangpuiin acid chu rilru chhunga a kal chhoh lohna tura puitu taksa pengte chu a nghet zual sauh sauh a ni. Heng ruh te hi an inkharkhip a, chaw kawng khar tha thei lo a nih chuan chaw kawng chhunga acid awm chu chaw kawng chhungah a rawn chho leh tan thin. Tin, hernia vang hian acid thenkhat chu pum chunglam ah a tang a, chutiang chuan a tlahniam awlsam lo. Hei hi thil thleng mai a ni.

Hiatal Hernia hi engte nge ni?

Kan taksa peng hrang hrang inthenna tissue-a hmun chak lo a awm chuan hernia a lo awm thei a ni. Chu chak lohna hmun chu hernia chhuahna hmun a ni. Hiatal hernia hi a hmaa kan sawi tawh ang khan, diaphragm chhunga khur, esophageal hiatus an tih chu a lian lutuk chuan a lo awm thin. A châng chuan he chak lohna hi accident bik emaw, operation emaw, nau piangsual vang emaw a ni thei. Mahse a tam zawkah chuan kum tam tak nitin stress leh strain hun kal zelah a lo awm khawm vang a ni. I pum chhunga extra pressure siamtu eng thil pawh hian hun kal zelah diaphragm-ah pressure a siam thei a ni. Hiatal hernia thlen thei thil pawimawh thenkhat chu hetiang hi a ni:

• Hun rei tak khuh emaw, khuh emaw: Ngaihtuah teh, mi thenkhat chuan khuh rei tak an nei thin. I khuh leh i thawk chhuah chhunzawm zel chuan i pum chhunga pressure a sang chho zel a ni.
• Constipation: Constipation vei te hian hei hi an hre chiang hle.
• Obesity: Body mass index (BMI) 30 aia tam a nih chuan.
• Luak chhuak fo thin.
• Exercise hahthlak emaw, weight lifting emaw: Thil rit phurh hunah, gym-a ang bawkin.
• Naupai leh nau neih lai: Heng hun lai hian pumpui pressure a sang bawk.

He Hiatal Hernia hi natna khirh tak a ni em?

A tam zawkah chuan, ni lo. Hiatal hernia tam zawk hi chu a na lo hle. A tam zawk chuan symptoms an nei lo. I nei tih pawh i hre lo mai thei. Mahse, hernia lian tak chu hun kal zelah a na thei hle. A lian a nih chuan symptoms i nei fo ang.

Eng harsatna nge awm thei?

Hiatal hernia avanga harsatna awm tam ber chu chronic acid reflux a ni. Hei hi a nasat a, damdawi hmanga control tha lo a nih chuan a tawpah chuan i chaw kawng a tichhe thei a ni. Chronic acid reflux avanga harsatna awm thei te chu:

• Esophagitis: Esophagus-a acid reflux chuan chaw kawng lining a ti hring a, a inflamed ta a ni. Hei hian natna a thlen thei a, ei harsa a ti thei a, ulcer a thlen thei a, thisen pawh a chhuah thei bawk.
• Esophageal stricture: Hliam chhunzawm zel chuan chaw kawng chhungah scar tissue a siam thei. He scarring hian ei laia hnathawk tha ruh te a tibuai thei a, chaw kawng chu a ti tawi thei a ni.
• Barrett's esophagus: Hliam chhunzawm zel hian a chang chuan esophagus lining a tidanglam thei (a condition ``Barrett's esophagus.'' Hei hi a takin a hlauhawm lo nain, precancerous condition anga ngaih a ni

A tlem hle a, hiatal hernia chu a inkhung emaw, a hawnna chhungah a nawr emaw a nih chuan harsatna a awm thei. Hei hi hernia chi hrang hrang zingah a thleng tlangpui. Chutiang harsatnate chu:

• Gastrointestinal obstruction: I pum emaw, taksa peng dang emaw chu a hawnna hmunah a tang thei a, a inzawm khawm thei a, a inzawm khawm thei bawk a, chu chuan i chaw ei kawng a tikhawlo thei a ni.
• Gastritis: Acid reflux in herniated part of the stomach ah hian a hring chhuak thei a, pum chhungah ulcer a awm thei a, chhungril lamah thisen a chhuak thei bawk.
• Ischemia: Hernia hi chutiang taka compressed a nih chuan a thisen supply chu a titawp thei a ni. Hei hian a hring thei a, a na thei a, a tawpah chuan tissue thihna a thlen thei bawk. Hei hi emergency a ni.

Hiatal Hernia hi engtin nge an hriat theih?

Doctor-te chuan i chaw kawng leh i pum thlalak enin hiatal hernia an nei tih an hmuchhuak thin. A châng chuan thil dang zawn laiin accident-a hmuhchhuah a ni ṭhin. Mahse, acid reflux symptom i neih chuan doctor chuan a zawng duh mai thei. A hmasa berin esophageal pH test an ti ang a, i esophagus-a acid awm leh awm loh an enfiah ang.Chutiang acid a awm chuan imaging test hmangin a chhan zawn chhuah a ni ang. Hiatal hernia hriat theihna test hrang hrangte chu:

• Chest X-ray: Hei hian i rilru chhung lam, esophagus awmna hmun, still, black and white thlalak a la a.
• Esophagram / Barium Swallow: Hei hi i chaw kawng video ang mai a ni. I ei laiin i esophagus chhungril chu real-time-in i hmu thei a ni. Hemi hma hian barium an tih tui in tur i pe ang.
• Upper endoscopy: Tube sei tak, camera te tak te dahna chu ka chhungah dahin chaw kawng chhung leh pum chhung en a ni. Hei hian esophagus chhung lam chu live screen-ah a hmu thei a ni. A tul chuan tissue te te (biopsy) te chu enfiah nan lak theih a ni.
• Esophageal manometry: Esophagus chhungah catheter dahin chaw kawng chhunga thau awmte pressure tehna a ni.

He hernia hi a mah chauhin a bo dawn em ni?

No. Hernia hi a mah chauhin a dam lo. Hun kal zelah an dam leh tlangpui. Mahse, chu chuan i hernia hian harsatna a thlen dawn lo tihna erawh a ni lo. I hiatal hernia atanga symptom i neih loh chuan enkawlna i mamawh lo mai thei. Mahse, symptoms i neih chuan a awm reng thei a, a na zual thei bawk. Mild acid reflux hi damdawi hmanga enkawl theih a ni. Mahse case na zawkah chuan surgery repair a ngai mai thei.

Hiatal Hernia natna hi eng damdawi nge ni?

I doctor chuan i hernia awm dan te, i hernia lian tham te, leh i natna lan chhuah dan te uluk takin a enfiah ang a, i tan hun rei tak chhunga enkawlna tha ber a hriat theih nan. Option awm thei te chu:

• Nghak la, en rawh: I hernia hian a tibuai lo che a nih chuan enkawl a ngai lo mai thei. Mahse i doctor chuan a en reng ang, hun kal zelah a lian chho thei a ni.
• Damdawi hman: Damdawi hian acid chu kawchhunga acid lo lut chu a titawp vek thei lo. Mahse pum chhunga acid awm zat an tihtlem thei. Tichuan, a rilruah a tho chhuak a nih pawhin a tichhe tlem ang a, a natna pawh a ti tlem ang.
• Surgery: Operation tenau tak chuan i hiatal hernia chu a siam tha thei a ni. Surgery hi mi zawng zawng tan duhthlan tur a ni a, mahse mi zawng zawngin an mamawh vek lo. Mi \henkhatin an mamawh hma deuh mai thei a, \henkhat erawh chuan nakinah an mamawh mai thei.

Damdawi chi hrang hrang

A chang chuan thinlung natna i neih chuan over-the -counter antacids (Digene, Gelusil ang chi) hmangin hahdamna i hmu thei. Mahse, a awm reng chuan i doctor chuan hun rei tak chhung, nitin damdawi a pe thei a ni. Hei hian proton pump inhibitor (PPI) te pawh a huam tlangpui.(e.g. Omeprazole, Esomeprazole, Pantoprazole) te hi damdawi ei tur a ni. Hengte hian chaw kawng chhunga acid tihchhiat a veng thei a, a chhe lai pawh a tidam thei bawk. Mahse, heng damdawi te hian ei tur chu rilru chhunga a rawn chho leh tur chu a titawp thei lo (regurgitation) emaw, hernia lian zawk a titawp thei lo bawk.

Inzai

Doctor-te chuan hetiang ang case-ah hian hernia repair surgery neih an rawt a ni:

• I hernia avanga symptoms emaw complications emaw chu damdawi hmanga ven theih loh a nih chuan.
• Damdawi hian i hriselna emaw nunphung emaw tichhe thei side effect a neih chuan.
• I hernia a lian tawk a, nakin lawkah harsatna lian tham a thlen thei a nih chuan.

Hiatal hernia surgery hian a hnuaia mi ang hian hernia leh acid reflux hi a siam tha thin:

• I pum leh chaw kawng hnuai lam chu diaphragm hnuaiah a awmna dik takah dah leh a ni.
• Hernia awmna diaphragm-a khur chu khar a ni.
• Pum leh chaw kawng inzawmna chu a tikhauh a.

He surgery hi fundoplication an ti a . He hming hi "fundus" tih thumal atanga lak a ni a, chu chuan pum chunglam a kawk a ni. Surgery neih chhung hian surgeon chuan i pum fundus chu a la a, i esophagus hnuai lam chu a khuh a, surgical clip (staples) emaw stitches emaw hmangin a secure a ni. I kawngah scarf i khuh ang maiin ngaihtuah rawh. Hei hian taksa peng pahnih (lower esophageal sphincter) inthenna muscle chu a tikhauh a ni. A theih phawt chuan, chu chu minimally invasive laparoscopic surgery hmangin tih a ni . Chu chu, incision tenau tlemte hmanga camera leh instrument dahna surgery tihna a ni.

Operation hnua dam lehna chu engtin nge a awm?

I dinhmun leh operation chi hrang hrang a zirin ni khat emaw ni hnih emaw chhung damdawi inah i awm a ngai mai thei. Laparoscopic emaw robotic surgery atanga dam lehna hi a rang zawkin a awlsam zawk tlangpui. Hei hi open surgery ang chi incision lian tak tak hmanga tih ai chuan, incision tenau hmanga tih a nih vang a ni. Mahse, a chang chuan open surgery a ngai thin. In lama i haw hnuah pawh kar hnih atanga kar ruk dang i dam leh a ngai dawn a ni. Hemi chhung hian i surgery a dam chhung hian hun eng emaw chen atana symptoms leh side effects vangin chaw pangngai i ei thei lo mai thei. I doctor chuan ei leh in tlemte chauh a pe ang. Liquid atang hian i tan ang a, zawi zawiin ei tur nem takah i kal ang a, a tawpah chuan solid foods ah i kal ang. Hiatal hernia surgery hnua taksa rihna tihtlem hi thil pangngai a ni - a tlangpuiin pound 10-15 vel (4.5-6.8 kilograms) vel a ni.

Hiatal Hernia surgery hi engtiang chiahin nge a hlawhtlin?

Hiatal hernia surgery hi 90% a hlawhtling a ni.Mi tam zawk chuan an zai hnuah an damdawi ei an chawlhsan thei a, acid reflux harsatna nei lovin nun pangngaiin an hmang thei a ni. I dam hnuah kum khatah vawi khat tal doctor i pan a ngai ang a, hernia siamthat tawh chu i enfiah a ngai ang a, engkim a thawk tha em tih i enfiah a ngai bawk ang. Harsatna thar a lo awm emaw, harsatna hlui a lo awm leh a nih chuan i doctor chuan chutiang pawh chu a enfiah ang. Hun rei tak zirchiannaah chuan hiatal hernia 50% vel chu operation hnu hun engemaw chen (a tlangpuiin kum engemaw zat) hnuah a lo lang leh thin tih hmuhchhuah a ni. Hei hi surgery thenkhat tih dik loh vang emaw, original hernia thlentu factors te chu an la active reng a, a thar a lo awm tawh vang emaw pawh a ni thei. Mahse, hernia lo lang leh zawng zawng hian symptom inang an nei vek dawn lo. Mahse, an tih chuan, operation thar chuan a awm reng thei fo ṭhîn.

Ka hiatal hernia vang hian in lamah eng nge ka tih theih ang?

Hiatal hernia, a chang chuan symptoms awm thin nen i khawsa a nih chuan, over-the-counter damdawi leh nunphung thlak danglam hmangin in lamah hahdamna hmuh i tum thei ang. Antacids - Tums®, Rolaids®, Pepto-Bismol® (damdawi ang chi hi Sri Lanka-ah pawh a awm a, i doctor emaw pharmacist emaw zawt rawh) - hian a chang chuan thinlung natna hi a titawp thei a, mahse hman fo tur a ni lo. Tin, nunphung tihdanglamna thenkhat hmangin heartburn awm tam leh nasat dan pawh i tihtlem thei bawk. Entir nan:

• I tan body mass index (BMI) hrisel tak vawng reng rawh: Thau lutuk hian acid lama harsatna a thlen a nih chuan taksa rihna tihtlem hian a pui thei a ni.
• Chaw te zawk ei rawh: Vawi khata chaw lian tak ei ai chuan chaw te zawk ei thin ang che. Hei hian i pum a pressure a tihziaawm ang.
• Chaw thau nei tihtlem: Chaw thau leh thau tamna hian pum hian acid leh enzyme tam zawk a siam chhuak thin.
• Zanriah ei hma: Chaw ei zawhah darkar engemaw zat mut suh. Tichuan gravity hian a pui ang che.
• I mut dan thlak rawh: Zanah i lu sang deuha mut a, veilam sir a mut hian i rilruah acid a rawn lut lo thei lo. Hei atan hian body pillow bik siam a awm bawk.
• Meizial zuk bansan rawh: Meizial hian i lower esophageal sphincter a tichak lo. Chronic cough a thlen thei bawk a, hei hian hiatal hernia vel muscle te chu pressure a siam thei a ni.

Chhan dang avanga doctor pan i kal chuan hiatal hernia i vei tih hmuhchhuah a ni mai thei. Hei hi a hluar hle a, i ta chu a te a, harsatna a thlen loh chuan ngaihtuahawm a ni lo. A nih loh leh, kum tam tak chhunga i natna lan chhuah hnuah hiatal hernia i vei tih hmuhchhuah a ni thei a, a tawpah chuan chhanna leh hahdamna i zawng thei bawk. I acid reflux hi hernia vang a ni tih i hriat chuan mak i ti mai thei. Vanneihthlak takin acid reflux leh hiatal hernia te pawh hi enkawlna a awm a. Enkawlna i mamawh chu hernia chi leh i natna lan chhuah danah a innghat ang. Thil tam takah chuan damdawi leh nunphung thlak danglam hian i acid reflux control nan a pui thei a ni. A nasat zawkah chuan hernia siamthat nan operation neih a ngai mai thei. He surgery hi a hlawhtling hle. I diagnosis a chiang tawh chuan i symptoms atanga relief zawng turin i kal dawn a ni.

A tawp berah chuan thil hriat reng tur

Hiatal hernia hi hlauh tur a ni lo. Mi tam takin an nei a, symptoms an nei lo.

Mahse, i rilru natna, i rilruah ei tur lo chhuak, ei harsat ang chi symptom i neih chhunzawm zel chuan doctor thurawn i la ngei ang. A chhan chu a chhan dik tak chu hiatal hernia nge thil dang hriat a pawimawh a, a tul anga enkawl a pawimawh.

He natna hi nunphung thlak danglam leh a chang chuan damdawi hmanga enkawl tha thei a ni. Surgery a ngai a nih pawhin tunah chuan technique changkang tak tak hmanga tih a ni a, result hlawhtling tak a nei tawh bawk. Chuvangin, hlauthawng suh. I doctor nen inbia la, i tan a solution tha ber zawng rawh. Hiatal hernia, lungphu, acid reflux, GERD, pum, chaw kawng, hernia surgery te a awm bawk